Patient Controlled Analgesia Checklist |
questions with 100% Correct Verified
Answers| Rated A
Compare with the MAR/medical record - ANS Cross-referenced the information with the
Medication Administration Record (MAR) or medical record
Connect morphine syringe to PCA tubing but do not prime tubing yet - ANS Attached
the morphine syringe to the PCA tubing without priming the tubing
Insert syringe into pump, with measurements and label facing out - ANS Inserted the
syringe into the pump with measurements and label facing outward
Snap flange into proper position and lower top clip to end of plunger - ANS Secured the flange
in the correct position and lowered the top clip to the end of the plunger
Turn Key to program - ANS Used the key to program the PCA pump
Program the PCA pump settings while holding the PCA MAR orders next to the pump to verify -
ANS Entered the appropriate settings into the PCA pump while cross-referencing with the PCA
Medication Administration Record (MAR)
Max dose only if ordered - ANS Administered the maximum dose only if prescribed
Cont. dose = basal rate - ANS Continuous dose equals the basal rate
, PCA dose or bolus for when button pushed by patient - ANS PCA dose or bolus administered
when the patient activates the button
Loading dose only if ordered - ANS Administered the loading dose only if prescribed
Label tubing - ANS Labeled the tubing for easy identification
Prime the PCA tubing - ANS Flushed the PCA tubing to remove any air or contaminants
Swab hub of port on primary tubing closest to the patient and Connect PCA tubing to this port -
ANS Cleaned the hub of the port on the primary tubing closest to the patient and connected
the PCA tubing to this port
Start pumps, either one first - ANS Initiated the pumps, starting with either one
Educates the reason for the PCA and device set-up to the pt. & family - ANS Explained the
purpose of the PCA and the setup of the device to the patient and their family
Expected outcomes, precautions and potential side effects and to call for questions/concerns -
ANS Described the expected outcomes, precautions, potential side effects, and encouraged
the patient to ask questions or voice concerns
Explain that med safely administers self-initiated, small but frequent amounts of medication
under the patients control in order to provide comfort and minimize side effects from analgesia
- ANS Clarified that the medication is self-administered by the patient in small, frequent doses
to ensure comfort and minimize side effects
Told patient that self-dosing before repositioning, walking, coughing, and deep breathing would
help in the performance of these activities - ANS Informed the patient that self-administering
the medication before repositioning, walking, coughing, and deep breathing would aid in
performing these activities
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